Jordan O Wilson (NPI# 1235651720, PAC ID# 7012267115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235651720 |
| PAC ID by PECOS | 7012267115 |
| Professional Enrollment ID | I20180911003525 |
| Full Name | Jordan O Wilson |
| Organization Legal Name | LEWIS COUNTY MENTAL HEALTH ASSOCIATION |
| Address |
2428 W Reynolds Ave Centralia WA 98531-4554 |
| Phone Number | 3603309044 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496641177 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 3603309044 | LEWIS COUNTY MENTAL HEALTH ASSOCIATION |
| Organization Legal Name | LEWIS COUNTY MENTAL HEALTH ASSOCIATION |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke C Greene | Nurse Practitioner | Lewis County Mental Health Association | 2428 W Reynolds Ave, Centralia, WA 98531-4554 |
| Roy W Schlegel | Psychiatry | Lewis County Mental Health Association | 521 Adams St, Suite 4, Morton, WA 98356-9323 |
| Cheryl M Mercurio | Nurse Practitioner | Lewis County Mental Health Association | 2428 W Reynolds Ave, Centralia, WA 98531-4554 |
| Laura D Hoeman | Nurse Practitioner | Lewis County Mental Health Association | 521 Adams St, Suite 4, Morton, WA 98356-9323 |
| Elizabeth J Bartleson | Clinical Social Worker | Lewis County Mental Health Association | 521 Adams St, Morton, WA 98356-9323 |
| Lisa Beth Ehrlichman | Nurse Practitioner | Lewis County Mental Health Association | 521 Adams St, Suite 4, Morton, WA 98356-9323 |
| Street Address |
2428 W REYNOLDS AVE |
| City | CENTRALIA |
| State | WA |
| Zip | 98531-4554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke C Greene | Nurse Practitioner | Lewis County Mental Health Association | 2428 W Reynolds Ave, Centralia, WA 98531-4554 |
| Cheryl M Mercurio | Nurse Practitioner | Lewis County Mental Health Association | 2428 W Reynolds Ave, Centralia, WA 98531-4554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Dolezal | Optometry | 1125 Mellen St, Centralia, WA 98531-1173 | |
| Jason A Buono | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Sara J Hess | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Kristin Kay Hood | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Gregory A Sonntag | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Todd L Gentzler | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Jacob Andrew Keeling | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Holly A Lickwala | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Steven Aaron Zakai | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Erin D Buono | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Find all physicians in zip 98531 | |||
| City | CENTRALIA |
| Zip Code | 98531 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CENTRALIA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.